Provider Demographics
NPI:1629834387
Name:GARCIA, ANA LISA (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:LISA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5637 KNIGHTS BRG
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4553
Mailing Address - Country:US
Mailing Address - Phone:956-561-0497
Mailing Address - Fax:
Practice Address - Street 1:5637 KNIGHTS BRG
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4553
Practice Address - Country:US
Practice Address - Phone:956-561-0497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87210101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional